Jacob, George I
Jacob, George I is an individual health care provider with primary practice located at 1908 Coffee Rd Ste 3 , Modesto CA 95355-2719. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jacob, George I can be contacted via phone (209) 985-0550.Contact Information
Primary practice address
1908 Coffee Rd Ste 3
Modesto CA 95355-2719
Phone: (209) 985-0550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC27611 | California |
Profile Details
| NPI number | 1770584112 |
|---|---|
| LBN Legal business name | Jacob, George I |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Apr 11th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770584112 | NPPES |
| California | MEDICAID | 4532436 |
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